Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion

Arthrodesis is the generally accepted treatment for symptomatic osteoarthritis of the interphalangeal (IP) joint of the thumb. For 7 thumbs in 5 patients, an IP joint replacement was offered as a pain alleviating and motion conserving treatment option for osteoarthritis. In these cases, an offlabel...

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Main Authors: Laurence Grüber, Georges Kohut, Théa Voser
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2020/2961523
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author Laurence Grüber
Georges Kohut
Théa Voser
author_facet Laurence Grüber
Georges Kohut
Théa Voser
author_sort Laurence Grüber
collection DOAJ
description Arthrodesis is the generally accepted treatment for symptomatic osteoarthritis of the interphalangeal (IP) joint of the thumb. For 7 thumbs in 5 patients, an IP joint replacement was offered as a pain alleviating and motion conserving treatment option for osteoarthritis. In these cases, an offlabel use of the SR-PIP prosthesis was performed. All patients did well postoperatively with reasonable pain-free range of motion of the interphalangeal joint except one patient who required further surgeries for recurring joint instability. Radiologically, though, an osteolysis around the stems that could lead to loosening of the prosthesis and progressing periarticular ossifications that might cause a blockage of the joint were observed. IP joint arthroplasty represents a viable option on the short term; however, further studies should be conducted to ensure their long-term sustainability.
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institution Kabale University
issn 2090-3464
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publishDate 2020-01-01
publisher Wiley
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series Advances in Orthopedics
spelling doaj-art-c2ff6d538bc94c1894734329b9200e232025-02-03T01:30:30ZengWileyAdvances in Orthopedics2090-34642090-34722020-01-01202010.1155/2020/29615232961523Thumb Interphalangeal Joint Replacement as an Alternative to Joint FusionLaurence Grüber0Georges Kohut1Théa Voser2Clinique Générale Saint-Anne, Cabinet Kohut. Rue Hans-Geiler 6, Fribourg 1700, SwitzerlandClinique Générale Saint-Anne, Cabinet Kohut. Rue Hans-Geiler 6, Fribourg 1700, SwitzerlandClinique Générale Saint-Anne, Cabinet Kohut. Rue Hans-Geiler 6, Fribourg 1700, SwitzerlandArthrodesis is the generally accepted treatment for symptomatic osteoarthritis of the interphalangeal (IP) joint of the thumb. For 7 thumbs in 5 patients, an IP joint replacement was offered as a pain alleviating and motion conserving treatment option for osteoarthritis. In these cases, an offlabel use of the SR-PIP prosthesis was performed. All patients did well postoperatively with reasonable pain-free range of motion of the interphalangeal joint except one patient who required further surgeries for recurring joint instability. Radiologically, though, an osteolysis around the stems that could lead to loosening of the prosthesis and progressing periarticular ossifications that might cause a blockage of the joint were observed. IP joint arthroplasty represents a viable option on the short term; however, further studies should be conducted to ensure their long-term sustainability.http://dx.doi.org/10.1155/2020/2961523
spellingShingle Laurence Grüber
Georges Kohut
Théa Voser
Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion
Advances in Orthopedics
title Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion
title_full Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion
title_fullStr Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion
title_full_unstemmed Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion
title_short Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion
title_sort thumb interphalangeal joint replacement as an alternative to joint fusion
url http://dx.doi.org/10.1155/2020/2961523
work_keys_str_mv AT laurencegruber thumbinterphalangealjointreplacementasanalternativetojointfusion
AT georgeskohut thumbinterphalangealjointreplacementasanalternativetojointfusion
AT theavoser thumbinterphalangealjointreplacementasanalternativetojointfusion